Individual
JENNIFER DADISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 FULTON RD NW STE 103, CANTON, OH 44709-3526
(330) 956-5936
(330) 956-5623
Mailing address
1930 FULTON RD NW STE 103, CANTON, OH 44709-3526
(330) 956-5936
(330) 956-5623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166283
OH
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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